Ureteric Re-implant (ureteroneocystostomy)

What are the indications for ureteral reimplantation?

Ureteral reimplantation is a surgical procedure designed to prevent reflux, a condition where urine flows back to the kidneys from the bladder, thereby protecting these vital organs from potential damage.

Surgery is strongly advised when reflux doesn't seem to dissipate, or the condition results in severe damage to the kidneys. Thus, surgery to treat reflux involves altering the way in which the ureter attaches to the bladder by forming a new tunnel in the bladder. Therefore, your surgeon performs reimplantation of the ureter to correct its attachment to the bladder.

Procedure

An incision is created at the bottom part of the abdomen just above the area of the pubic bone. There are various ways to re-implant the ureter within the bladder, and the doctor will make a decision based on the condition. Sutures are inserted underneath the skin, which, given the time, will dissolve. A standard, sterile dressing is used to conceal and protect the incision. Once the incision heals completely, it’s normal to anticipate a slight scar in the area.

The surgery can be done both openly and minimally invasively, depending on what suits the patient. During open surgery, an incision is made in the lower abdominal region through the fat and muscle. With laparoscopic surgery, which is less invasive in nature, the surgeon creates a few small incisions over the abdomen.

Your surgeon, with their expertise and experience, will carefully evaluate your condition and decide on the most appropriate surgical technique, ensuring you receive the best possible care.

Recovery

Wound care is an extremely important stage of recovery. Your doctor will provide detailed wound care instructions to help manage the area and reduce the risk of infection and other associated postoperative complications. You can expect to be in the hospital for a few days after the surgery, and full recovery may take several weeks.